Spastic state and impaired motility of the urinary tract
Spastic State and Impaired Motility of the Urinary Tract
The urinary tract is a complex system of muscles, organs, and tubes that filter, store, and transport urine from the body. When the urinary tract muscles are overactive, called spastic, it can lead to impaired motility of the urinary tract, which can make it difficult for urine to pass properly.
The urinary tract can become overactive when the bladder becomes full and stretch receptors detect the pressure. The bladder sends a signal to the brain, which causes the bladder muscle to contract to initiate urination. When these receptors become overstimulated, the bladder muscle will continue to spasm causing the spastic state.
Impaired motility of the urinary tract can cause several symptoms, including:
- Urinary Incontinence - Involuntary leakage of the urine.
- Urinary Retention - Inability to void urine.
- Urge Incontinence - An urge to urinate despite no bladder fullness.
- PLS - Pelvic Floor Syndrome which is pelvic pain and an inability to control the incoming urine when coughing, standing or exercising.
- Weak Bladder - Involuntary leakage of the urine caused by a weak sphincter.
These symptoms can cause distress and embarrassment but with the help of physical therapy, medications, and lifestyle changes, many patients can learn how to manage and control their symptoms.
Physical therapy can teach patients bladder control techniques, as well as strengthening the pelvic floor muscles. Medications like anticholinergics can be used to reduce bladder overactivity and relax the muscles of the bladder. Additional medications may be prescribed based on the symptoms.
In addition to Physical Therapy, lifestyle changes can be beneficial in managing and controlling the symptoms. These include: drinking plenty of fluids throughout the day, limiting caffeine and alcohol intake, decreasing stress, and planning bathroom breaks to urinate on a regular schedule.
Although spastic state and impaired motility of the urinary tract can be uncomfortable and embarrassing, seeking medical attention and making lifestyle changes can help to improve symptoms.